Individual provider Active NPI

Raymond Derry Crosby, DO

  • Orthopaedic Surgery Physician
  • Valdosta, GA
National Provider Identifier
1215938501
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29316 Issued in GA
Practice address
2310 N Patterson St
BLDG D
Valdosta, GA 31602-2568
Phone
(229) 247-2482
Fax
(229) 247-0827
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 29316 GA Primary

Addresses

Primary practice location

2310 N Patterson St
BLDG D
Valdosta, GA 31602-2568

Mailing address

2310 N Patterson St
BLDG D
Valdosta, GA 31602-2568
Phone (229) 247-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000941 GA Practitioner - Orthopedic Surgery 1355475641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1215938501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST",
            "address_2": "BLDG D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022568",
            "telephone_number": "229-247-2482",
            "fax_number": "229-247-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST",
            "address_2": "BLDG D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022568",
            "telephone_number": "229-247-2482",
            "fax_number": "229-247-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "RAYMOND",
        "middle_name": "DERRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "29316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.